Individual
MRS. KIMBERLY DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
15 FORGE RD, HEWITT, NJ 07421-3170
(201) 835-0842
Mailing address
15 FORGE RD, HEWITT, NJ 07421-3170
(201) 835-0842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR15643800
NJ
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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